Online Bail Packet — Team One Bail Bonds

1Bond Information

Defendant Full Name

Bond Amount

Bond Number

Power of Attorney Number

Court Name

City

State

Date

2Indemnitor Information

Relationship to Defendant

Full Name

Nickname / Alias

Home Phone

Cell Phone

Work Phone

Social Media Username

Current Home Address

How Long at Current Address

Rent or Own

Rent Own

Landlord / Mortgage Company

Previous Address

Former Home Address

How Long at Former Address

Former Rent or Own

Rent Own

Former Landlord / Mortgage Company

3Personal Description

Date of Birth

Where Born

Sex

M F

Race

Social Security #

Driver's License #

Issuing State

How Long in U.S.

U.S. Citizen

Yes No

Nationality

Alien #

Union

Local #

Military Service Branch

Active Military?

Yes No

Discharge Date

Additional Notes

4Employment & Marital Status

Employment

Occupation

Employer

Work Phone

How Long Employed

Employer Address

Supervisor's Name

Marital Status

Status

Married Divorced Separated Widowed Single Cohabitating

Spouse / Partner Name

How Long Married / Together

Spouse Address (if different)

Spouse Email

Spouse Social Media

Spouse SSN

Spouse Home Phone

Spouse Cell Phone

Spouse Occupation

Spouse Employer

Spouse How Long Employed

Spouse Employer Phone

5Vehicle Information

Year

Make

Model

Color

Plate #

State

Where Financed

Amount Owed

6References

Reference 1

Name

Relation

Address

Employer

Home Phone

Work Phone

Cell Phone

Reference 2

Name

Relation

Address

Employer

Home Phone

Work Phone

Cell Phone

Reference 3

Name

Relation

Address

Employer

Home Phone

Work Phone

Cell Phone

7Financial Statement

Cash on Hand

Cash in Bank

Real Estate Value

Real Estate Mortgage

In Whose Name Is Title

Monthly Salary or Wages

Will Collateral Be Used?

Yes No

If Yes, Lien on Real Property?

Yes No

8Payment & Co-signers

Payment

Payment Type

Lump Sum Installment Plan

Co-signers

Add up to 3 co-signers who will receive signature requests.

9Review & Submit

Please review all information below before submitting. Use the Edit buttons to correct any section.

I have reviewed all information above and confirm that it is accurate and complete to the best of my knowledge.

Online Bail Packet — Team One Bail Bonds

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